Provider Demographics
NPI:1770468522
Name:BUDASOVA, ANASTASIA (FNP-C)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:BUDASOVA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 SEYMOUR CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-3289
Mailing Address - Country:US
Mailing Address - Phone:916-340-5673
Mailing Address - Fax:
Practice Address - Street 1:1426 SEYMOUR CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-3289
Practice Address - Country:US
Practice Address - Phone:916-340-5673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036103363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner